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After recurrent admissions and complications, the potential for adjusting diuretic therapy was limited. After unsuccessful talc pleurodesis, an indwelling tunnelled pleural catheter was placed with effective symptomatic control. One month later, the patient was readmitted with empyema due to <jats:italic>Acinetobacter radioresistens<\/jats:italic>. Despite optimised medical and surgical treatment, the patient died 4 weeks later.<\/jats:p>","DOI":"10.1136\/bcr-2018-227635","type":"journal-article","created":{"date-parts":[[2019,3,16]],"date-time":"2019-03-16T04:58:04Z","timestamp":1552712284000},"page":"e227635","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Hepatic hydrothorax: indwelling catheter-related <i>Acinetobacter radioresistens<\/i> infection"],"prefix":"10.1136","volume":"12","author":[{"given":"Cristiano","family":"Silva Cruz","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Centro Hospitalar de Lisboa Central, EPE \u2013 Hospital de Santa Marta, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentina","family":"Tosatto","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Centro Hospitalar de Lisboa Central, EPE \u2013 Hospital de Santa Marta, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula Oliveira","family":"Nascimento","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Centro Hospitalar de Lisboa Central, EPE \u2013 Hospital de Santa Marta, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Barata Moura","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Centro Hospitalar de Lisboa Central, EPE \u2013 Hospital de Santa Marta, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,3,15]]},"reference":[{"key":"2025082708403858000_12.3.e227635.1","doi-asserted-by":"publisher","DOI":"10.1159\/000346996"},{"key":"2025082708403858000_12.3.e227635.2","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1097\/MCP.0000000000000058","article-title":"Management of refractory hepatic hydrothorax","volume":"20","author":"Porcel","year":"2014","journal-title":"Curr Opin Pulm Med"},{"key":"2025082708403858000_12.3.e227635.3","doi-asserted-by":"publisher","DOI":"10.1159\/000282493"},{"key":"2025082708403858000_12.3.e227635.4","doi-asserted-by":"crossref","first-page":"3321","DOI":"10.1007\/s10620-016-4260-9","article-title":"Effectiveness and safety of pleurodesis for hepatic hydrothorax: A systematic review and meta-analysis","volume":"61","author":"Hou","year":"2016","journal-title":"Dig Dis Sci"},{"key":"2025082708403858000_12.3.e227635.5","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.1016\/j.chest.2016.12.014","article-title":"Nonmalignant pleural effusions: A prospective study of 356 consecutive unselected patients","volume":"151","author":"Walker","year":"2017","journal-title":"Chest"},{"key":"2025082708403858000_12.3.e227635.6","doi-asserted-by":"publisher","DOI":"10.1378\/chest.10-2134"},{"key":"2025082708403858000_12.3.e227635.7","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1097\/MCP.0000000000000386","article-title":"Indwelling tunneled pleural catheters for the management of hepatic hydrothorax","volume":"23","author":"Haas","year":"2017","journal-title":"Curr Opin Pulm Med"},{"key":"2025082708403858000_12.3.e227635.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(99)00217-X"},{"key":"2025082708403858000_12.3.e227635.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2006.03.057"},{"key":"2025082708403858000_12.3.e227635.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(01)00744-6"},{"key":"2025082708403858000_12.3.e227635.11","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1111\/j.1478-3231.2010.02447.x","article-title":"Outcome predictors of cirrhotic patients with spontaneous bacterial empyema","volume":"31","author":"Chen","year":"2011","journal-title":"Liver Int"},{"key":"2025082708403858000_12.3.e227635.12","doi-asserted-by":"publisher","DOI":"10.1007\/s12072-009-9136-z"},{"key":"2025082708403858000_12.3.e227635.13","doi-asserted-by":"publisher","DOI":"10.1378\/chest.126.1.142"},{"key":"2025082708403858000_12.3.e227635.14","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.jhep.2015.10.006","article-title":"European Association for the Study of the Liver. 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